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How to Refer

Small talk has an open referral system so that we will accept referrals from parents, carers or any professional working with the child (providing they have permission from the adult with parental responsibility). You can do this very simply by filling in the form below: 

Information about the child

The Child's Name:

The Child's Address:

The Child's Date of Birth:

The Child's Home Telephone Number:

Describe Your Concerns:


Information about the person making the referral

Your Name:

Your Email Address:

Your Telephone Number:

Your Relationship to the Child:

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